Individual
AYA TAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
891 HYDE PARK AVE, HYDE PARK, MA 02136-3267
(617) 477-4050
Mailing address
4 RESERVE WAY UNIT D, BURLINGTON, MA 01803-4037
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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